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4734 Penkwe Cir - Inspection Form4. 11 _ 11111. City of Cap,aq Residential Sanitary Sewer Service Compliance Inspection Date)//•LZ J1 - Name ) 717 At C 4" to 6" Transition: White Copy: Property Owner 3 Time Disk # LIE PID Number House Number . Street Name Alternative Mailing Address Owner/Occupant Signature Compliance O No foundation drain connection O No roof drain connection \ 0 Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Service Lateral Inspection Findings am Pm Damaged Pipe Transition For information call 651.470.2788 Non-Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Number of stacks Length of Service: Yellow Copy: City of Eagan Record Number Time Phone .4 Obstruction Unable to push past feet. Entered S.L at inspii Signature Roots Poor Pipejoints Mineral Deposits Sag/Pipe Deflection Final Cleanout: am • • 0 pm No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SEH Number Correctly Discharged Incorrectly Unknown Notes I 1 •,:". " 1 ) . 1 ,-- ----- 1- --7---- ,-;: " ) / ) - .) Total Sump pumps -4 1__ /.,_._ .."- // e' ("?.---- .1 / :-,..-- f ...-' " l Foundation drains Roof drains ,(21 _..., \/ A,- 4. 11 _ 11111. City of Cap,aq Residential Sanitary Sewer Service Compliance Inspection Date)//•LZ J1 - Name ) 717 At C 4" to 6" Transition: White Copy: Property Owner 3 Time Disk # LIE PID Number House Number . Street Name Alternative Mailing Address Owner/Occupant Signature Compliance O No foundation drain connection O No roof drain connection \ 0 Sump pit not connected to sanitary sewer O Sump pump properly piped O No sump pump Service Lateral Inspection Findings am Pm Damaged Pipe Transition For information call 651.470.2788 Non-Compliance O Clear water connections to sanitary sewer O Service lateral defects O Defective manholes O Sump pump connected to sanitary sewer O Flexible sump pump piping Number of stacks Length of Service: Yellow Copy: City of Eagan Record Number Time Phone .4 Obstruction Unable to push past feet. Entered S.L at inspii Signature Roots Poor Pipejoints Mineral Deposits Sag/Pipe Deflection Final Cleanout: am • • 0 pm No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SEH